Healthcare Provider Details

I. General information

NPI: 1245289156
Provider Name (Legal Business Name): RAPID MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 E ATLANTIC AVE
SOMERDALE NJ
08083-2735
US

IV. Provider business mailing address

PO BOX 25
STRATFORD NJ
08084-0025
US

V. Phone/Fax

Practice location:
  • Phone: 856-718-2944
  • Fax: 856-678-8226
Mailing address:
  • Phone: 856-718-2944
  • Fax: 856-678-8226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberRAP05012
License Number StateNJ

VIII. Authorized Official

Name: MR. RICHARD W WALKER JR.
Title or Position: PRESIDENT
Credential: EMT
Phone: 856-718-2944